{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T19:02:09Z","timestamp":1789844529468,"version":"4.0.1"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"content-version":"vor","delay-in-days":64,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J. exp. orthop."],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Total knee replacement (TKR) is a highly successful operation; however, a proportion of patients remain dissatisfied following surgery, often related to unmet preoperative expectations. In response, Arthritis UK developed a pilot peer support programme for patients awaiting joint replacement. This study evaluated short\u2010term changes in patient\u2010reported experience following participation in the programme among patients awaiting TKR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective observational cohort study included patients scheduled for primary TKR who participated in a structured peer support programme delivered in small group sessions. Participants completed a 10\u2010item programme\u2010specific questionnaire rated on a 10\u2010point visual analogue scale immediately before peer support, and on average after the second session. A composite experience score was calculated using mean item scores when at least 80% of items were completed. Pre\u2013post changes were analysed using paired statistical tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seventy participants were included in the analysis. The composite experience score increased by 1.2 points (standard deviation [SD]\u2009=\u20091.3), from 5.7 (SD\u2009=\u20091.3) pre\u2010intervention to 6.9 (SD\u2009=\u20091.1) post\u2010intervention. Patients reported increases in perceived emotional support and confidence in knowing what to expect from the operation and recovery period. Improvements were also observed in satisfaction with management plans and perceived ability to manage health. No significant changes were observed in self\u2010reported preoperative anxiety or in the perceived impact of joint pain on daily life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Participation in the peer support programme was associated with short\u2010term improvements in overall patient\u2010reported experience, particularly knowledge, emotional support, perceived control over health and treatment\u2010related satisfaction. These findings suggest that peer support may complement standard preoperative education by influencing how patients understand and emotionally experience their surgical journey. Further controlled studies with longer follow\u2010up are required to determine causality and evaluate whether these short\u2010term changes are sustained and associated with post\u2010operative satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jeo2.70777","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T13:23:36Z","timestamp":1780579416000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient\u2010reported outcomes following participation in a preoperative peer support programme for total knee replacement: A prospective observational cohort study"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-5721-7256","authenticated-orcid":false,"given":"Fraser","family":"Middleton","sequence":"first","affiliation":[{"name":"Medical School University of Exeter Exeter UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan R. A.","family":"Phillips","sequence":"additional","affiliation":[{"name":"Royal Devon University Healthcare NHS Foundation Trust Princess Elizabeth Orthopaedic Centre Exeter UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,4]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.84.2.191"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-1119-9"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2022.10.011"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2017.04.005"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/001872675400700202"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11420-011-9203-6"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rdc.2008.05.004"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmac004"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/591253"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/ar2811"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2021.0206"},{"key":"e_1_2_12_13_1","article-title":"Preoperative education for hip or knee replacement","volume":"2015","author":"McDonald S","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_12_14_1","article-title":"Psychological preparation and postoperative outcomes for adults undergoing surgery under general anaesthesia","volume":"2016","author":"Powell R","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-061336"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.94B7.28219"}],"container-title":["Journal of Experimental Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jeo2.70777","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jeo2.70777","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jeo2.70777","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T18:15:07Z","timestamp":1789841707000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1002\/jeo2.70777"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/jeo2.70777"],"URL":"https:\/\/doi.org\/10.1002\/jeo2.70777","archive":["Portico"],"relation":{},"ISSN":["2197-1153","2197-1153"],"issn-type":[{"value":"2197-1153","type":"print"},{"value":"2197-1153","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2026-02-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70777"}}